Active NPI
Alexander Heyne, DSOM, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1336741685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18975
- Practice address
- 1445 N Gardner St
Los Angeles, CA 90046-4101 - Phone
- (203) 609-3412
- NPI assigned
- Nov 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18975 | CA | Primary |
Addresses
Primary practice location
1445 N Gardner St
Los Angeles, CA 90046-4101
Mailing address
515 N Larchmont Blvd Apt 206
Los Angeles, CA 90004-1315
Phone (203) 609-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1336741685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N LARCHMONT BLVD APT 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041315",
"telephone_number": "203-609-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464101",
"telephone_number": "203-609-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYNE",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DSOM, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.